IndividualActive
Pushpa Shivaram, MD
NPI 1306192604 · Pediatric Cardiology Physician · Marshfield, WI
Provider details
- NPI number
- 1306192604
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 080240 (GA)
Practice location
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone: (715) 387-5267
Fax: (715) 389-3142
Mailing address
1120 15th Street
Augusta, GA 30912-0004
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2018-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.